Provider Demographics
NPI:1497312136
Name:GOOD REMEDY HEALTHCARE INC
Entity Type:Organization
Organization Name:GOOD REMEDY HEALTHCARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:MAUREEN
Authorized Official - Middle Name:A
Authorized Official - Last Name:ONYENACHO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:310-850-8529
Mailing Address - Street 1:1137 W 140TH PL
Mailing Address - Street 2:
Mailing Address - City:GARDENA
Mailing Address - State:CA
Mailing Address - Zip Code:90247-2239
Mailing Address - Country:US
Mailing Address - Phone:310-850-8529
Mailing Address - Fax:310-975-6591
Practice Address - Street 1:1137 W 140TH PL
Practice Address - Street 2:
Practice Address - City:GARDENA
Practice Address - State:CA
Practice Address - Zip Code:90247-2239
Practice Address - Country:US
Practice Address - Phone:310-850-8529
Practice Address - Fax:310-975-6591
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-05-28
Last Update Date:2019-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAPENDINGMedicaid